Medical Staff Credentialing Specialist chez Texas Tech University Health Sciences Center El Paso
Texas Tech University Health Sciences Center El Paso · El Paso, États-Unis d'Amérique · Onsite
- Professional
- Bureau à El Paso
Position Description
Travel Required
Major/Essential Functions
- Ensures compliance with TTUHSC El Paso Medical Staff Bylaws, Rules and Regulations and other accrediting and regulatory agencies such as the Joint Commission, NCQA and DNV
- Coordinates in the credentialing process for the medical staff, allied health professionals and temporary privileges
- Enters accurate and up to date data of new providers into the credentialing database to include but not limited to demographic and personal information, education/training, licensure, DEA, liability information, board certification status, NPI numbers, ECFMG certifications, etc.
- Ensures credentialing file is complete and accurately verified along with all required documentation prior to view of the Credentialing Committee
- Ensures that all expired credentials are reviewed, obtained, and managed on a timely basis according to the credentialing policy and procedures
- Maintains confidentiality of all business/work and medical staff information
- Assists the Credentialing Services Managing Director and Manager in ensuring compliance with relevant Joint Commission Standards
- Participates in regulatory survey preparation as well as the actual survey
- Participates in the development and implementation of credentialing policy and procedures
- Remains current with all licensure, certifications and mandatory compliances and trainings required of this position.
- Adhere to all TTUHSCEP policies, procedures and processes
- Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution
- Perform all other duties as assigned
Grant Funded?
Minimum Hire Rate
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Preferred Qualifications
- Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office.
- Strong analytical skills with the ability to assess compliance, record, analyze, and interpret data into meaningful formats.
- Demonstrated ability to effectively communicate (orally and written) while also displaying excellent interpersonal skills.
- Bachelor’s degree desired.
- Demonstrated understanding of credentialing accreditation standards.
- Demonstrated understanding on initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, and compliance monitoring.
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Required Qualifications
- Associate's degree from an accredited college or university or an equivalent combination of education and experience is required
- Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office